# GULFTON PRIMARY CARE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760858526
- **Authorized official:** DR. TASNEEM AGHA MD (MEDICAL DIRECTOR/CEO)
- **Authorized official phone:** (713) 777-4040

## Contact information

- **Practice address:** 2743 IMPERIA DR STE 302, SUGAR LAND, TX 77479-8988
- **Practice address phone:** (713) 777-4040
- **Practice address fax:** (713) 772-9269
- **Mailing address:** 2473 IMPEIRA DR SUITE 302, SUGAR LAND, TX 77479
- **Mailing address phone:** (713) 777-4040
- **Mailing address fax:** (713) 777-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2015
- **Last updated:** 10/28/2024